Provider Demographics
NPI:1558529164
Name:YELVERTON, ROBIN JAKE WORRING (RN, MSN, ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:JAKE WORRING
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:RN, MSN, ARNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5115 N PALAFOX ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-2932
Mailing Address - Country:US
Mailing Address - Phone:850-378-8773
Mailing Address - Fax:850-378-8778
Practice Address - Street 1:514 MARY ESTHER CUT OFF NW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4047
Practice Address - Country:US
Practice Address - Phone:850-226-8550
Practice Address - Fax:850-226-6712
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN3110082363LC0200X
FLARNP3110082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPI773OtherHFMG MA
FLPI774OtherHFPSI MA
FL013049600Medicaid